Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Derick Michael Bosley

Individual provider Contractor · NPI 1033495270

Derick Michael Bosley is a Contractor in Scranton, South Carolina. Licensed in South Carolina. Registered with an NPI since 2011.

Licensed in
SC
In the registry since
2011
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Practice location Address checks out

1940 Boyd Rd
Scranton, SC 29591-5835
Phone: (843) 389-9201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 2348 (SC)

Record details

NPI number1033495270
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 2, 2011
Last updated in NPPESNovember 2, 2011
Mailing addressHc 86 Box 418c, Fort Ashby, WV 26719-9719